Definition

Neuropathic pain is a painful sensation that occurs due to damaged or abnormally working nerves. It may also occur because of abnormalities in the central nervous system's interpretation of the signals it is receiving from these nerves. The pain may be long-lasting.

Nervous System

Causes

This condition may caused by damaged nerve fibers that send pain signals to your brain. This can happen even when there is no event to trigger the pain. For example, a person with neuropathic pain may have a feeling of pins and needles when putting on socks.

Symptoms

This pain may be constant or occur off and on during the day. The condition can get in the way of daily activities, including sleep. In some cases, even the touch of a bed sheet can cause pain.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done.

You may be referred to a neurologist. This is a doctor who specializes in disorders of the nervous system. This doctor will do a neurological exam and other tests.

Depending on your condition, you may also be referred to a pain specialist who can help you manage your pain.

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include:

Medications

There are a number of medications that are effective for treating neuropathic pain. Some of these, like antidepressants, were created to treat other conditions. They have also been found to be useful for treating nerve pain.

Examples of medications used to treat symptoms of peripheral neuropathy include:

Anticonvulsants

Antidepressants

Opioid pain relievers

Over-the-counter pain relievers, such as
acetaminophen and
ibuprofen

Topical creams applied to the skin or patches, such as
capsaicin cream or a patch with
lidocaine

It may take a while for your doctor to find the right medication for you. You may need to take a combination of medications for pain relief.

Other Options

Ask your doctor to recommend a safe exercise program. Being active will help your overall health.

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